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Work authorization form, Ambassador Construction, March 1999

Machine-extracted title · confidence 88%

Work authorization and invoice form from Ambassador Construction requesting payment for additional labor and materials at a job site.

NYC-WTC_000168450–000168454

Folder label: “None

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Scanned page image, NYC-WTC_000168454
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NYC 9/11 Public Portal Document FR AMBASSADOR _CON. TO 7325198 __. P.04/88 APR GB 1999 15:35 ADOR CO oe wcsad G6Sr30 was - ROD 8. SAM , ING. To: ROBERT B. SAMUELS, ING WORK ORDER -- 97484 NEW YORK, NY 10010 "RBS ORDER NO. Dh Prato ABS JOB NO, SY GOR” INVOICE TO: PPrbeSsabor Cus CUSTOMER JOB NO. CUSTOMER WO, NO. CUSTOMER PO, NO JOB LOCATION LZ ere el PA lear arrenmion: — ack Klress ~ YOU ARE HEREGY. AUTHORIZED. ANO REQUESTED TO PERFORM THE ADDITIONAL WORK SPECIFIED BELOW UPON THE FOLLOWING BASIS: COST OF ALL. MATERIAL ANO LABOR, INCLUOING ALL PREMFUMS ON INSURANCE AND FRINGE BENEFITS. PLUS OVERHEAD. PROFIT ANDO SALES TAX WHERE APPLICABLE. TERMS NET IS DAYS. . . [Teowrnact - C] EXTRA Vi Tam , C] sence CALL _i- “Ho Vv Recepri« peal pent 2. Shakers Fo Shea feck dl Abave TY, Werk mm pla: CATE TO PLEASE PRINT NAME AME AND MATERIAL WORK PURSUANT TO ANO UNDER PROVISION OF ASOVE WORK ORDER. LABOR MON, WED.__| TKUAS. FAl, SAT. SUN. | GRAND DATE 3/30/99| 3) 309 TOTAL , Ne. | You Raat | me. [Ret | re | Yeu | ne, | Yate | No | Tu | Ne | toe nOURS Men | rz. | Men | Mrs, | Men | Hen | Men | Mere, | Men | tra | Men | Mrs, | Men 1 Hrs, FOREMAN SIT £ifi tie ey eee Pe ort . j . SIT iH ENA Ble. 7 ER SUB-FOREM tv ndtee AN Ort | JOURNEYMAN: S/T. [27/4 FE SS iF O/T Sit ay ee eee Orr 17 {. [ |. fe — A Sr : a bare a/sol% m afc} ACCEPTED: aE OF COIEINT Tr &. yy? PLEASE PRINT ey Saha wi let FORLAAN — PLEASE PRUNT AUYMORIZED SIGNATURE UST MATERIAL ON REVERSE SIOE wo-1 159) “d $278 AR. 7 JdM PUAN. Ter FTV. oe ek TANTO) DORE OR wx NYC-WTC_000168454

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NYC-WTC_000168454Source: NYC Law Department, mirrored locally

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